This provider's $18.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2018 | $9.1K | $2.0K | 4.59x | $7.1K | $3.0M | 1.3K | 945 |
| 2019 | $9.9K | $2.1K | 4.71x | $7.8K | $4.0M | 1.8K | 1.2K |
| 2020 | $11.0K | $2.4K | 4.58x | $8.6K | $3.9M | 1.6K | 1.2K |
| 2021 | $11.1K | $2.4K | 4.60x | $8.7K | $3.1M | 1.2K | 908 |
| 2022 | $12.8K | $2.8K | 4.64x | $10.1K | $2.2M | 893 | 689 |
| 2023 | $10.8K | $2.4K | 4.57x | $8.5K | $2.4M | 1.1K | 848 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36905 | Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation | 1.5K | $5.7M | $3.7K | 4.48x |
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 3.1K | $5.6M | $1.8K | 4.49x |
| 36906 | Excision of blood clot and/or infusion to dissolve blood clot and balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation | 485 | $4.0M | $8.2K | 4.44x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 285 | $1.5M | $5.1K | 4.50x |
| 36581 | Replacement of central venous catheter | 696 | $848.0K | $1.2K | 4.68x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 250 | $269.8K | $1.1K | 4.58x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 490 | $208.4K | $425.31 | 4.57x |
| 36595 | Mechanical removal of obstructive material from central venous catheter | 293 | $119.0K | $406.10 | 12.58x |
| 36589 | Removal of central venous catheter for infusion | 453 | $111.9K | $246.93 | 4.55x |
| 36904 | Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation | 58 | $111.4K | $1.9K | 4.47x |
| C7513 | Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis a | 102 | $105.0K | $1.0K | 5.14x |
| 37248 | Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation | 28 | $48.5K | $1.7K | 4.58x |
| J2997 | Injection, alteplase recombinant, 1 mg | 184 | $12.8K | $69.33 | 4.46x |
| 36575 | Repair of central venous catheter for infusion | 12 | $3.0K | $248.74 | 4.73x |
This provider submits charges 4.54 times higher than what Medicare actually pays.
A markup ratio of 4.54x means for every $100 Medicare pays, this provider initially charges $454. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Ambulatory Surgical Center providers in PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Main Line Surgery Center, Llc | Bala Cynwyd, PA | $38.7M | ✓ Clear |
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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